HomeMy WebLinkAboutOVERLOOK ESTATES #3 LT 7
OVERLOOK ESTATES
#3
Lot 7
#067-231-20
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231275
PID Number: 067-231-20
Dwelling: 0 Single Family (SF)
❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ■❑ New ❑ Upgrade
Name
Hultquist Homes, Inc.
ABSORPTION FIELD
Deep Trench 0 Wide Trench Bed
El Deep El Mound
Site Address
27636 Wilde Circle
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
1 0 GPD/SFJ
3.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2•5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision
Block Lot
Overlook Estates #3
7
Fill added above original grade
1.0-2.5 Ft.
Gravel length
2@50 Ft.
Township Range Section
Gravel width
5.0
Beds: Number of Lines
n/a
Distance between lines
SEPARATION
DISTANCES
Ft.
n/a Ft.
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank.
Field
Tank
Line
500 Ftz
2
6.6 Ft.
Well
100'+
100'+
NA
NA
25'+
TANK K Septic ❑ S.T.E.P. El Holding El Other
Manufacturer
Greer
Capacity
1000 Gal.
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
Lot Line
10'+
10'+
NA
NA
NA
HDPE
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Little Dipper Excavating,
Inc.
Drainfeld 3034 CO/MT3034
Inspector PES
BENCH MARK (Assumed elevation) 103.0 ft
Inspdection 15` 09/21/23 2nd 09/21/23
Location and description
3'd 09/22/23
401 09/22/23
See Site Plan, Bottom corner of house trim
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval:
Date
0.. At-gs����
j *. • 49 TH
.���
r� Steven R. Pannone 0
r PF •. CE 8149
�1 cslF�•03/19/2024. 4W
Septic System
Approved
Date 3
Note: this approval does not include well permit requirements.
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PROFILE
1000GAL GREER
POLY TANK
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MIXEMA
Crowther Associates
11
Date October 23, 202-)
Client.* Pannone Engineering Services, Dan
P r cj e c t.* Overlook Estates Lot 7
Particle Size Distribution Table
(percent passing subject sieve size)
Sample Source
Moisture 3.3%
Content
Sieve Size Percent Finer Percent Finer Percent Finer Percent Finer
3 inch 100
1- 1/2 inch
95
1/4 inch
81
44
58
#10
47
#40
10
#100
#200 2
0.02 mm xx
Classification Gravelly Sand
(SP)
1632 Bellevue Circle/ A nchorage, Alaska 99515
Telephone (907) 349-2198 / E mail.- .907crowther(,)gmail. com
www.sullivanwaterwells.com
Pump Installation Log
Well Drilling Permit Number: SW OSP231275 Date of Issue 9-1-23
Parcel Identification Number: 06723120000
Legal Description Property Owner Name & Address
Overlook Estates #3 Lot 7 Hultquist Homes
27636 Wilde Circle Eagle River, AK 99577
Pump Installation Date:
2-22-24
Pump Intake Depth Below Top of Well Casing:
52 feet
Pump manufacturer’s Name:
Grundfos
Pump Model:
10SQE05-160
Pump Size:
1/2 hp
Pitless Adapter Burial Depth:
12 feet
Pitless Adapter Installer:
Unknown
Disinfected Upon Completion?
yes no
Method of Disinfection:
Chlorine 50 PPM
Comments:
Pitless Manufacturer: Martinson
Pump Installers Name:
Sullivan Water Wells
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Certified Drilling Log
OWNER OF LAND: Hulquist
ADDRESS: 27636 Wilde Circle Chugiak, AK 99577
LEGAL DESCRIPTION Overlook Estates# 3 Lot 7
DATE: 9/22/23
PERMIT NUMBER: OSP231275 DATE OF ISSUE: 9/1/23
TAX IDENTIFICATION NUMBER 06723120000
Is well located at approved permit location: Yes No
Method of Drilling: air rotary cable tool
Depth of Well: 64’
Casing Type: Steel Wall thickness .250 inches
Diameter: 6 inches, depth 60 feet
Liner type
Static Water Level: 23.6 feet
Recovery Rate 20+ gpm gph
Method of Testing Air
Well Intake Opening Type: open end open hole
Screened Start feet Stopped
Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 Lbs.
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: yes no
Method of Disinfection: Chlorine 50 PPM
Comments:
Bore Hole Data
Depth
From To
0 2 Casing Stickup
2 4 Overburden
4 15 Gravel
15 17 Wet gravel
17 35 Gravel
35 37 Gravel and some silt
37 46 Silty sand and gravel
46 64 Sand and gravel water
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation.
MatSu Borough: Department of Environmental Conservation.
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MUNICIPALITY OF ANCHORAGE Ment S
On -Site Water & Wastewater Program 10
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
t�ehariment
On -Site Water & Wastewater System Permit
Permit Number: OSP231275 Effective Date: 9/1/2023
Work Type: WellSeptic Initial Expiration Date: 8/31/2024
Tax Code Number: 06723120000
Site Legal Address: OVERLOOK ESTATES #3 LT 7 G:
Site Mailing Address: 27636 WILDE CIR, Eagle River
Owner: NOWAK ERIC A Lot Size in Sq Ft: 57321
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
• If trench is installed in the soil strata that is visually classified as GP/SP, a new percolation test is to be
completed prior to construction. If there is a different percolation rate than assumed in permit application, a
change order is to be submitted.
Received By: Date:
Issued By: Date: L-
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 067-231-20
Property owner(s) Eric Nowak
Mailing address 27205 Roop Road, Eagle River, AK 99577
Site address 27636 Wilde Circle
Day phone
Legal description (Sub'd., Block & Lot) Overlook Estates #3, Lot 7
Legal description (Township, Range & Section)
Lot Size 57,321 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
Q
Initial 0
Single Family (SF)
Q
(w/wo ADU)
Septic Tank
Q
Upgrade ElDuplex
(D)
ElHolding
Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑X
Water Storage
❑
THIS APPLICATION INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: ' 3 l Z Waiver Fees:
Date of Payment: Z Z Z<273 Date of Payment:
Receipt Number: 0Z (`y Receipt Number:
Permit No. Waiver No.
Permit App_::- : ,....:c
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E‐mail: steve@panengak.com
Mailing: P.O.Box 1807, Palmer, AK 99645
Telephone: (907) 745‐8200 FAX: (907) 745‐8201
31 August 2023
Municipality of Anchorage
Development Services Department
On‐Site Water & Wastewater Program
4700 Elmore Road
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Overlook Estates #3, Lot 7
Septic System Upgrade Permit Request
This is a design narrative for a permit to install an initial septic system on the subject property. The proposed system will serve a
proposed three‐bedroom (3) house. This lot and surrounding lots are served by private wells. Separation will be maintained to
all surrounding wells, sceptics, and rivers.
1. Soils:
28 test holes were performed in this subdivision by PES for the approval of the subdivision, and more were performed
during the design of septic systems on lots in the subdivision. The shallowest groundwater observed in the subdivision was
at 13’ on lot 26, directly adjacent to a stream. Bedrock was not encountered anywhere in the subdivision. See soils logs for
subdivision, S12577. The test hole on lot 7 was performed further to the north than the system will actually be installed.
We are using surrounding test holes as a justification. The system on Lot 7 will be placed outside of the previous
development footprint. If it is the case that the organics layer seen in TH‐7 is found at depth 1) it cannot be conclusively
determined that it is fill, and not a natural deposit as this was recently a glacially active valley. 2) The material has been in
place longer than 2 years, and can now be considered in‐situ, as an accepted policy by the on‐site department. Based on
the results of the surrounding percolation tests and known soil types in the area, per 15.65.210 C; a conservative
application rate of 1.0 gallons/day/square feet was used for a conventional wastewater system with use of sand filter.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
3. Surface Water:
There is no surface water within 100 feet of the proposed septic tank and drain field.
4. Topography:
See attached site plan for area topography. There are no slopes exceeding 25% within 50ft from the proposed drain field.
5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is
complete and no further comments are received from MoA On‐Site Department, the note will be removed and “For
Construction” drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
If you have any questions or concerns, please contact me at (907) 745‐8200.
Sincerely,
Steven R. Pannone, P.E. F. ASCE
Owner/Civil Engineer
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231275, Curtis Townsend, 09/01/23
/ LOT 8
J
\
N
On-site Water' nd Fastetter
REVIEVVEDOR CO COM LIANI OSP2312//75, Curtis sen , 09/0'
-1/ A
• WiLDE CIRCLE \
\ i
_ 15 TEG EASEMEN— I
— WELL (E) 3 — - — _ _ r
(DESIGN LOCATION)
SEPTIC AREA (E)
(DESIGN LOCATION)
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 3(450 gpd)
TANK SIZE: 1000gal
PERC RATE: <1 MPI
SOIL RATING: 1.0 GPD/SF
AREA ROD: 450 SF
SYS. TYPE: WIDE TRENCH 0.5'ED
MIN LENGTH: 90 LF
LOT 7 \ 3�
TH-7 313 �
(PES) HOUSE I �/ TH-6
�N/ cu / \ (P) j�/ (PES)
LOT 6
DECKN—W� Wi
100
USE:
(2EA) 50LFx5.0'WxO.5'E.Dx3.0'TD
INSTALL 2.0' FILTER SAND BELOW SYSTEM
SEE NOTE 1, THIS SHEET:
TOTAL AREA: 500 SF
NOTE 1. PERFORM SIEVE ANALYSIS ON SOIL
FOUND IN ACCEPTING LAYER AND
DELETE 2.0' MoA FILTER SAND UNDER
_FIELD IF GREATER THAN 51 % PASSES -
#4 SIEVE AND SUBMIT CHANGE ORDER WITH
RECORD DRAWING. \
NOTES:
FOR CONSTRUCTION
.I
MIN 1000g SEPTIC TANK (P)
INSTALL FOUNDATION CLEAN OUT,
DOUBLE CLEAN OUT, AND FLOW SPLITTER
I
NO WELLS S OR SEPTICS
S, s ---- 9 6 I
C J INSTALL PRIMARY DRAIN FIELD (P)
\ (2EA) 50LF x 5.0'W x 0.5'ED x 3.0'TD
INSTALL 2.0' MoA FILTER SAND BELOW SYSTEM
INSTALL CLEAN OUT AT EACH END
INSTALL MONITOR TUBE AT EACH END
MIN 6.0' SEPARATION BETWEEN TRENCHES
ENSURE MIN 3.0' OF COVER OR USE R.I.
\ SEE NOTE 1, THIS SHEET.
I
92
\ I
LOT VACANT EAGLE RIVER LOCATED
NO WELLS OR SEPTICS +300'
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
DRAWN BY: DRM OVERLOOK ESTATES #3, LOT 7
ERIC NOWAK
27636 WILDE CIRCLE
PLAN EAGLE RIVER, AK
CE 8149
Date
8/23/2023
Scale
1"=50'
P.I.D. NO
067-231-20
PERMIT NO.
OSP231275
Sheet
1 OF 3
SPECIAL PROVISIONS TO SPECIFICATIONS On-site Water and Wastev ater
1. SCOPE AND SPECIFICATIONS: REMEINED FOR CODE COM IUAM
1.1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MOA COMPONENT PARTS AND MMRIALS U5$ED NS Townse ,09/01
CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
1.2. CONTRACTED WORK WILL BE IN COMPLIANCE WITH MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) DIVISION 10 & DIVISION 20 AS
APPROPRIATE.
1.3. SCOPE OF WORK: INSTALL SEPTIC TANK, DRAIN FIELD, AND WELL.
1.4. GROUNDWATER WAS NOT ENCOUNTERED AT A DEPTH OF 16.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE ON THIS LOT. IF AN
APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
1.5. STRUCTURES DEPICTED ON THE SITE PLAN ARE BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN
DEVELOPED BY RLS; OR A SURVEY AS -BUILT.
2. CONSTRUCTION SPECIFICATIONS:
2.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM
THOSE USED TO PREPARE THE DESIGN
2.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE AND END OF TRENCH
BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE
CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL.
2.3. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL
ROCK SURFACE TO f1" PRIOR TO INSTALLING THE PERFORATED PIPE.
2.4. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4
FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER.
2.5. ALL INSULATION SHALL BE 2" THICK DOW HI -40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK OR LINES.
2.6. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM.
2.7. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2" OF SEWER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL.
2.8. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
2.9. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN
FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING
INSTALLATION AS PER MOA CODE.
2.10. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE AND END OF SYSTEM.
2.11. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH.
2.12. EXPOSE, PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON IAW WITH MOA CODE IF NEEDED.
3. CONTRACTOR RESPONSIBILITIES:
3.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC
SYSTEMS (E & P) AND SHALL MEET MINIMUM SEPARATION DISTANCES OR AS NOTED.
3.2. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE
AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE
WORK.
3.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
3.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
3.5. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE
PRIOR TO NOTIFYING THE ENGINEER.
3.6. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS
POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN.
3.7. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE
PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS.
3.8. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS
AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING.
4. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND
ALL CHANGE ORDERS, AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED.
CONTRACTOR: BY:
TITLE: DATE:
NOTES: PANNONE ENG SVC, LLC Date
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510i�...,_...• 8/23/2023
PHONE (907) 272-8218 FAX (907) 272-8211 �` Scale
NTS
•••• ••••••• P.I.D. NO
OVERLOOK ESTATES #3, LOT 7 •• 067-231-20
ERIC NOWAK ••}� Cnn0110
CE 8149 PERMIT N0.
27636 WILDE CIRCLE OSP231275
DESIGN DETAILS EAGLE RIVER, AK •'•••••' ��'• Sheet
2OF3
E
9
10
11
12
13
14
In
DATE
SOILS LOG — PERCOI ATInNI TF T
Municipality of Anchorage
un -site Water and Wastewater
uAN
P231275, Curtis en
10916
READING
TEST HOLE 7
ORGANICS
NET DROP
V
MPI
SLOPE
Qz
J
n
LL1
III
W
Cf)
OS
SEE SITE PLAN
3.00
OR
GP/SP
GP
1122.5
9.00
6.00"
0.5 MIN
OR
GP/SP
1123
3.00
---
—__
4
1123.67
WAS GROUND WATER
ENCOUNTERED? NO
IF YES, AT WHAT
DEPTH? N/A
DEPTH TO WATER AFTER
MONITORING? n/a
DATE: 5/2F/qn?n
SLOPE
SEE SITE PLAN
0.67 MIN
0.1
5
PERFORMED:
BOH
14MAY2020
READING
DATE CLOCK TIME
WATER
LEVEL
READING
NET DROP
NET TIME
MPI
1
5/14/20 1122
3.00
---
—__
2
1122.5
9.00
6.00"
0.5 MIN
0.08
3
1123
3.00
---
—__
4
1123.67
9.00
6.00"
0.67 MIN
0.1
5
6
1124.83
9.00
6.00"
0.83 MIN
0.1
SOIL TEST RESULTS /ANALYSIS
• PERCOLATION RATE 0.1 (min/inch)
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST RUN BETWEEN 3.0 FT AND 4.0 FT.
• TEST RUN FOR OVER AN HOUR, LAST
THREE READINGS PROVIDED.
COMMENTS: Test hole excavated by White Raven
PERFORMED BY: Pannone Engineering Services LLC. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH
ALLSTATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211.
Q.(�i •..,•
'•
••• �• ••••••
.•even annope
CE 8149
••j,•
Date
8/23/2023
FOR CONSTRUCTION
NTS
OVERLOOK ESTATES #3, LOT 7
HULTQUIST HOMES INC.
27636 WILDE CIRCLE
EAGLE RIVER, AK
P.I.D. NO
067-231-20
PERMIT N0.
OSP231275
SOILS LOG
sheet
3OF3
MUNICIPALITY OF ANCHORAGE
o
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 067-231-20
Certificate of On -Site Systems Approval
Expiration Date: Z �
Z-0 Z
Legal description OVERLOOK ESTATES #3 LT 7
Site address 27636 WILDE CIR Eagle River AK 99577
Current property owner(s) HULTQUIST HOMES INC
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 3/26/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval_June 2022
TIUNICIPALITY OF ANCHORAGE
Development Services Department. ^:r Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
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1. GENERAL INFORMATION
Parcel I.D. 067-231-20
Complete legal description Overlook Estates Phase 3 Lot 7
Location (site address) 27636 Wilde Circle, Eagle River
Current property owner(s) HUItquist Homes, Inc. Day phone
2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: A Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass
Age <1 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ❑E
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $ I Waiver Fee $
Date of Payment
COSA# 0SCZ`�1 -J
Date of Payment
Waiver #
COSA Application —June 2022
COSA Checklist_June 2022
COSA Checklist
Legal Description: Parcel ID:
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed)
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date
Adequacy test date
Results Pass
Fluid depth prior to test in
Water added gal
New fluid depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) in
Effective depth used in
Effective depth remaining in
Comments/Deficiencies:
COSA Checklist_June 2022
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F.ENGINEER’S COMMENTS
G.CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Phone
Engineer’s Printed Name Date